Effetto di 10 mg di Xanamem sulla demenza dovuta al morbo di Alzheimer (XanaMIA)
Uno studio di fase 2b, in doppio cieco, controllato con placebo, a gruppi paralleli, di 36 settimane, a 2 bracci per valutare la sicurezza, la tollerabilità e l'efficacia di Xanamem® 10 mg al giorno in pazienti con demenza lieve o moderata dovuta alla malattia di Alzheimer
Xanamem® is being developed as a potential treatment for symptomatic, early stages of Alzheimer's Disease (AD) and Major Depressive Disorder (MDD).
This XanaMIA Phase 2b/3 study is to investigate the safety, tolerability, and efficacy of Xanamem in in mild or moderate dementia due to AD. Trial participants will be randomized to either receive 10mg of Xanamem once daily or a placebo for 36 weeks at a 1:1 ratio in a double-blinded fashion. Participants who have completed the main trial will be eligible to participate in an open-label phase, which involves treatment with 10mg Xanamem once daily for a treatment period of up to a maximum of 108 weeks. The OLE is intended to finish when all participants have completed at least 60 weeks of treatment and a follow-up visit 4 weeks later.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 2
- Fase 3
Contatti e Sedi
Luoghi di studio
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New South Wales
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Darlinghurst, New South Wales, Australia
- ACW Investigative Site 106
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Erina, New South Wales, Australia
- ACW Investigative Site 103
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Kogarah, New South Wales, Australia
- ACW Investigative Site 102
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Macquarie Park, New South Wales, Australia
- ACW Investigative Site 107
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Newcastle, New South Wales, Australia
- ACW Investigative Site 111
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Queensland
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Birtinya, Queensland, Australia
- ACW Investigative Site 113
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Chermside, Queensland, Australia
- ACW Investigative Site 105
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South Australia
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Bedford Park, South Australia, Australia
- ACW Investigative Site 114
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Woodville South, South Australia, Australia
- ACW Investigative Site 110
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Victoria
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Carlton, Victoria, Australia
- ACW Investigative Site 115
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Ivanhoe, Victoria, Australia
- ACW Investigative Site 101
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Malvern, Victoria, Australia
- ACW Investigative Site 108
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Parkville, Victoria, Australia
- ACW Investigative Site 112
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Western Australia
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Nedlands, Western Australia, Australia
- ACW Investigative Site 104
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West Perth, Western Australia, Australia
- ACW Investigative Site 109
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California
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Carlsbad, California, Stati Uniti, 92011
- ACW Investigative Site 218
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Sherman Oaks, California, Stati Uniti, 91403
- ACW Investigative Site 209
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Colorado
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Denver, Colorado, Stati Uniti, 80218
- ACW Investigative Site 211
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Englewood, Colorado, Stati Uniti, 80113
- ACW Investigative Site 208
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Florida
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Delray Beach, Florida, Stati Uniti, 33445
- ACW Investigative Site 203
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Miami, Florida, Stati Uniti, 33176
- ACW Investigative site 201
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New Port Richey, Florida, Stati Uniti, 34652
- ACW Investigative site 202
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Orlando, Florida, Stati Uniti, 32803
- ACW Investigative site 204
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The Villages, Florida, Stati Uniti, 32162
- ACW Investigative site 205
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Georgia
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Decatur, Georgia, Stati Uniti, 30030
- ACW Investigative Site 207
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New Jersey
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Marlton, New Jersey, Stati Uniti, 08053
- ACW Investigative Site 206
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New York
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Albany, New York, Stati Uniti, 12208
- ACW Investigative Site 214
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Staten Island, New York, Stati Uniti, 10314
- ACW Investigative Site 219
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Ohio
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Dayton, Ohio, Stati Uniti, 45459
- ACW Investigative Site 210
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Independence, Ohio, Stati Uniti, 44131
- ACW Investigative Site 217
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Oregon
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Portland, Oregon, Stati Uniti, 97225
- ACW Investigative Site 212
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Rhode Island
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East Providence, Rhode Island, Stati Uniti, 02914
- ACW Investigative Site 216
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Texas
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Austin, Texas, Stati Uniti, 78757
- ACW Investigative Site 220
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Washington
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Bellevue, Washington, Stati Uniti, 98007
- ACW Investigative Site 215
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
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Male or female aged 50 years or older, inclusive at the time of Screening.
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Clinical syndrome of mild or moderate dementia, likely to be due to AD in the opinion of the Investigator, at Screening, including meeting the following criteria:
- Clinical Dementia Rating (CDR) global score of 0.5 to 1.0
- Mini-mental state examination (MMSE) score of 18 to 26
- Magnetic resonance imaging (MRI) or computerized tomography (CT) scan within 1 year prior to randomization that excludes alternative diagnoses for dementia such as large stroke, likely vascular dementia, brain tumor, subdural hematoma, or other non-AD dementia type findings
- Positive plasma AD biomarker signature at Pre-screening, comprising fasting levels of a tau species protein.
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If receiving symptomatic AD medications, the dosing regimen must have been stable for 3 months prior to Screening.
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Has a consenting trial partner who, in the Investigator's judgment, has frequent and sufficient contact with the participant to be able to provide accurate information as to the participant's cognitive and functional abilities. The trial partner must be available to provide information to the Investigator and trial site staff about the participant and agrees to attend all trial site visits in person for scale completion. A trial partner should be available for the duration of the trial. The measure of adequate availability will be at the Investigator's discretion.
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Participants must be able to comfortably abstain from caffeine intake for 4 hours prior to scheduled cognitive assessments.
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Smokers are eligible if they are able to comfortably abstain from nicotine / tobacco products for 2 hours prior to scheduled cognitive assessments.
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Must provide written informed consent to participate in the trial and be willing and able to participate for the maximum of 9 months of treatment and up to 11.5 months of site visits.
Exclusion Criteria:
- Use of anti-amyloid or anti-tau antibody within 6 months.
- Diagnosis of a non-AD dementia including traumatic brain injury.
- Diagnosis of an active major mental illness of concern in the opinion in the Investigator, including major depressive disorder, bipolar illness, or schizophrenia.
- Participation in another clinical trial of a drug or device
- Has a body mass index or body weight that will interfere with participation in the trial, including inadequate venous access to complete the trial assessments, to be determined at the discretion of the Investigator.
- Previous clinically significant systemic illness or infection, including test positive COVID-19, within the past 4 weeks prior to Screening.
- Clinical diagnosis of Type I or Type II diabetes requiring insulin.
- Exhibit physical, cognitive, or language impairments, in the opinion of the Investigator, of such severity as to adversely affect the validity of the data derived from the neuropsychological tests.
- Trial participants with evidence of current infection with HIV, hepatitis B, or hepatitis C.
- Participants with a history of clinically significant drug abuse or addiction in the past 2 years
- Evidence or history of alcohol abuse
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Quadruplicare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: 10 mg Xanamem
10 mg Xanamem tablet, to be administered orally once every morning with or without food |
Xanamem drug product is formulated as an immediate-release film-coated tablet formulation for oral administration. Each Xanamem tablet contains 10 mg Xanamem (UE2343) drug substance and excipients.
Altri nomi:
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Comparatore placebo: Placebo
Placebo tablet, to be administered orally once every morning with or without food |
Matching placebo which is identical in appearance to the test product (10 mg Xanamem once daily) except that it contains no active ingredient. |
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Sperimentale: Open label phase
Participants enrolled in the open-label phase after the main trial will receive 10 mg Xanamem, to be administered orally once every morning with or without food |
Xanamem drug product is formulated as an immediate-release film-coated tablet formulation for oral administration. Each Xanamem tablet contains 10 mg Xanamem (UE2343) drug substance and excipients.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Effects of 10 mg Xanamem on integrated cognitive and functional abilities
Lasso di tempo: 36 weeks
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Change from Baseline to end of treatment (EOT) in the Clinical Dementia Ratio - Sum of Boxes (CDR-SB). The CDR-SB is calculated as an average score, with lower scores indicating improvement. |
36 weeks
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Incidence and severity of treatment-emergent adverse events (TEAEs) [safety and tolerability of Xanamem]
Lasso di tempo: 36 weeks
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Incidence and severity of TEAEs |
36 weeks
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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Global Program Lead, Actinogen Medical Ltd
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie del cervello
- Malattie del sistema nervoso centrale
- Malattie del sistema nervoso
- Disordini mentali
- Neoplasie
- Malattie del sistema immunitario
- Neoplasie per tipo istologico
- Disturbi neurocognitivi
- Tauopatie
- Malattie Neurodegenerative
- Malattie linfatiche
- Malattie linfoproliferative
- Disturbi immunoproliferativi
- Linfoma non Hodgkin
- Linfoma
- Malattie emiche e linfatiche
- Malattia di Alzheimer
- Linfoma, follicolare
- Demenza
- UE2343
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- ACW0009
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .